1. Setting the stage McLeod (2020) focuses her book on what she calls “typical refusals in reproductive healthcare.” She defines this at several points, describing these as primarily refusals that “target services that are standard (legal and professionally accepted) and that the objectors believe will result in the death of a human being that has the moral or religious status of a person (e.g., a fetus or embryo)” (136). Abortion is one procedure that is commonly targeted by “typical refusals.” McLeod notes that clinicians engaging in such refusals may refuse not only the procedure itself but also to make a referral for a procedure because they find this kind of indirect complicity to still be a violation of conscience (104). This rejection of referrals constitutes a rejection of attempts to find a compromise position that treats the clinician and the patient as equals. By contrast, McLeod draws our attention through the book to the irrefutable fact that, as socially-licensed gatekeepers of access to medical care, clinicians are not equal to patients. Instead, they have dramatically more power. This creates obligations of care in the exercise of that power and in particular should make us look for ways to give patients more power, or at least to protect them from the harms that clinician power, exercised in the form of refusal to provide care, can cause. This is no small part of why McLeod argues for a “patient prioritization” approach. And yet, McLeod is careful not to casually sweep aside the harms of requiring someone to act against their conscience. Please note that in substance, I do not disagree with McLeod’s patient prioritization view: When clinician conscience seems to require refusing care to a patient who is seeking that care, the power dynamic that inherently exists can only be balanced by patient prioritization. Like McLeod, I do not think the harms to clinician integrity of being compelled to do something they consider immoral can be lightly dismissed. But there is a great deal more to be said and considered, here, some of which would greatly complicate the relationship between 10.3138/ijfab-15.2.12 15 2
{"title":"Conscience in Transgender Health Care: Yet Another Area Where We Should Be Prioritizing Patient Interests","authors":"A. Reiheld","doi":"10.3138/ijfab.15.2.12","DOIUrl":"https://doi.org/10.3138/ijfab.15.2.12","url":null,"abstract":"1. Setting the stage McLeod (2020) focuses her book on what she calls “typical refusals in reproductive healthcare.” She defines this at several points, describing these as primarily refusals that “target services that are standard (legal and professionally accepted) and that the objectors believe will result in the death of a human being that has the moral or religious status of a person (e.g., a fetus or embryo)” (136). Abortion is one procedure that is commonly targeted by “typical refusals.” McLeod notes that clinicians engaging in such refusals may refuse not only the procedure itself but also to make a referral for a procedure because they find this kind of indirect complicity to still be a violation of conscience (104). This rejection of referrals constitutes a rejection of attempts to find a compromise position that treats the clinician and the patient as equals. By contrast, McLeod draws our attention through the book to the irrefutable fact that, as socially-licensed gatekeepers of access to medical care, clinicians are not equal to patients. Instead, they have dramatically more power. This creates obligations of care in the exercise of that power and in particular should make us look for ways to give patients more power, or at least to protect them from the harms that clinician power, exercised in the form of refusal to provide care, can cause. This is no small part of why McLeod argues for a “patient prioritization” approach. And yet, McLeod is careful not to casually sweep aside the harms of requiring someone to act against their conscience. Please note that in substance, I do not disagree with McLeod’s patient prioritization view: When clinician conscience seems to require refusing care to a patient who is seeking that care, the power dynamic that inherently exists can only be balanced by patient prioritization. Like McLeod, I do not think the harms to clinician integrity of being compelled to do something they consider immoral can be lightly dismissed. But there is a great deal more to be said and considered, here, some of which would greatly complicate the relationship between 10.3138/ijfab-15.2.12 15 2","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"4 1","pages":"144 - 152"},"PeriodicalIF":0.0,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84857335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract:In this article I explore partial ectogenesis through the lens of choice in childbirth, framing it as a mode of delivery. In doing so, I refocus discussion about partial ectogenesis, ensuring that this centers upon the autonomy and rights of the birthing person—as the procedure required to facilitate external gestation will be performed upon their body. By drawing a critical comparison between "delivery by partial ectogenesis" and request cesarean sections, I argue that delivery by partial ectogenesis ought to be available on the basis of the pregnant person's request alone.
{"title":"Should Delivery by Partial Ectogenesis Be Available on Request of the Pregnant Person?","authors":"Anna Nelson","doi":"10.3138/ijfab-15.1.01","DOIUrl":"https://doi.org/10.3138/ijfab-15.1.01","url":null,"abstract":"Abstract:In this article I explore partial ectogenesis through the lens of choice in childbirth, framing it as a mode of delivery. In doing so, I refocus discussion about partial ectogenesis, ensuring that this centers upon the autonomy and rights of the birthing person—as the procedure required to facilitate external gestation will be performed upon their body. By drawing a critical comparison between \"delivery by partial ectogenesis\" and request cesarean sections, I argue that delivery by partial ectogenesis ought to be available on the basis of the pregnant person's request alone.","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"33 1","pages":"1 - 26"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75877892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gender and the Privatization of Public Responsibility for Vaccination","authors":"M. Paynter","doi":"10.3138/ijfab-15.1.31","DOIUrl":"https://doi.org/10.3138/ijfab-15.1.31","url":null,"abstract":"","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"10 1","pages":"177 - 179"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77021275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Grief at Work: The Death of a Beloved Colleague Is a Loss Publicly and Privately Felt","authors":"Lisa Cassidy","doi":"10.3138/ijfab-15.1.23","DOIUrl":"https://doi.org/10.3138/ijfab-15.1.23","url":null,"abstract":"","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"64 1","pages":"150 - 151"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90307337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Making Art at the End of the World: Reimagining Feminist Bioethics through Research-Creation","authors":"C. Leach","doi":"10.3138/ijfab-15.1.15","DOIUrl":"https://doi.org/10.3138/ijfab-15.1.15","url":null,"abstract":"","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"3 1","pages":"123 - 128"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73032658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract:A relational, feminist ethics of pregnancy sees the fetus as valuable both relationally and biologically, rather than minimized or ignored. Women are always at the center of ethical concern. To avoid gender-based discrimination, women's bodily integrity, consent (to pregnancy), and physical "nestedness" (containment of the fetus within a person's body) must be considered primary ethical concerns. This relational approach accounts for the significance of pregnancy and the grief of pregnancy loss while concurrently providing an ethical justification for abortion. This refined framework has significant benefits because it can address a spectrum of ethical issues that arise around pregnancy.
{"title":"A Relational Ethics of Pregnancy","authors":"Jemma Rollo","doi":"10.3138/ijfab-15.1.02","DOIUrl":"https://doi.org/10.3138/ijfab-15.1.02","url":null,"abstract":"Abstract:A relational, feminist ethics of pregnancy sees the fetus as valuable both relationally and biologically, rather than minimized or ignored. Women are always at the center of ethical concern. To avoid gender-based discrimination, women's bodily integrity, consent (to pregnancy), and physical \"nestedness\" (containment of the fetus within a person's body) must be considered primary ethical concerns. This relational approach accounts for the significance of pregnancy and the grief of pregnancy loss while concurrently providing an ethical justification for abortion. This refined framework has significant benefits because it can address a spectrum of ethical issues that arise around pregnancy.","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"8 1","pages":"27 - 48"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77785671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Time plays in different ways in relation to pandemics. Our question stems from a feminist perspective - one that is interested in lives that the sense of haste generated by the pandemic response does not protect and those whose time and fate are reconfigured in the health crisis. The country has been the global epicenter of maternal deaths due to COVID-19, yet despite scientific evidence, Brazil has raised a number of barriers against the vaccination of pregnant women ([10]). [Extracted from the article] Copyright of International Journal of Feminist Approaches to Bioethics is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)
{"title":"On Women's Times in a Pandemic","authors":"Arbel Griner, D. Diniz","doi":"10.3138/ijfab-15.1.19","DOIUrl":"https://doi.org/10.3138/ijfab-15.1.19","url":null,"abstract":"Time plays in different ways in relation to pandemics. Our question stems from a feminist perspective - one that is interested in lives that the sense of haste generated by the pandemic response does not protect and those whose time and fate are reconfigured in the health crisis. The country has been the global epicenter of maternal deaths due to COVID-19, yet despite scientific evidence, Brazil has raised a number of barriers against the vaccination of pregnant women ([10]). [Extracted from the article] Copyright of International Journal of Feminist Approaches to Bioethics is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"15 1","pages":"138 - 140"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82233658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On Being Unwilling Insiders","authors":"Jackie Leach Scully","doi":"10.3138/ijfab-15.1.22","DOIUrl":"https://doi.org/10.3138/ijfab-15.1.22","url":null,"abstract":"","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89655567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Person-Centered Maternity Care: COVID Exposes the Illusion","authors":"Rebecca Brione","doi":"10.3138/ijfab-15.1.17","DOIUrl":"https://doi.org/10.3138/ijfab-15.1.17","url":null,"abstract":"","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"31 1","pages":"131 - 134"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85878698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Employing Feminist Theory of Vulnerability to Interrogate the Implications of COVID-19 Apps in Racialized Subpopulations","authors":"Tereza Hendl, Ryoa Chung, V. Wild","doi":"10.3138/ijfab-15.1.21","DOIUrl":"https://doi.org/10.3138/ijfab-15.1.21","url":null,"abstract":"","PeriodicalId":13383,"journal":{"name":"IJFAB: International Journal of Feminist Approaches to Bioethics","volume":"28 1","pages":"143 - 145"},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89829621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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